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Creatine in Parkinson’s disease: a large trial stopped for futility

The trial did not show slower long-term clinical decline.

Read the evidence ↓

Supplement Science Insights Editorial Team

Published September 23, 2026

The study and its comparison

A multicenter blinded study randomized 1,741 people with early, treated Parkinson’s disease to creatine monohydrate or placebo. The planned five-year comparison combined several measures of function and clinical status. [1]

The trial stopped after a planned interim analysis showed futility. Median follow-up was four years; the interim five-year cohort included 955 participants. The combined clinical comparison did not favor creatine. [1]

What the finding establishes

Planned duration should not be confused with follow-up achieved by every participant. The result concerns disease progression and does not negate separate exercise research. NINDS organized the program, and authors disclosed numerous consulting relationships; complete funding was not established from the abstract. The study does not support using creatine as a disease-modifying Parkinson treatment. [1]

A hypothetical distinction

Imagine a five-year trial stops early with median follow-up of four years. Report both the plan and the achieved observation.

Interpretation checklist — Creatine in Parkinson’s disease
DetailInterpretation
Measured outcomeKeep the endpoint specific
Study preparationNot every retail product
Remaining uncertaintyNot resolved by a mechanism
Creatine in Parkinson’s disease: a large trial stopped for futility — original article outline diagram
Original editorial diagram of this article’s sections; no product photograph or clinical finding is depicted.

Sources for this article

  1. Effect of creatine monohydrate on clinical progression in patients with Parkinson disease: a randomized clinical trial.
    Source consulted: 2026-09-19. This is a reference resource, not a claim that we conducted the studies or tested a product.